Diabetes Prevention Recognition Program | |
2655 Ridgeway Ave Ste 220 Rochester NY 14626-4296 | |
(585) 368-6542 | |
(585) 368-4373 |
Full Name | Diabetes Prevention Recognition Program |
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Speciality | Clinic/center |
Location | 2655 Ridgeway Ave Ste 220, Rochester, New York |
Authorized Official Name and Position | Patricia J Patton (MANAGER PROVIDER ENROLLMENT) |
Authorized Official Contact | 5859220527 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Diabetes Prevention Recognition Program 2655 Ridgeway Ave Ste 220 Rochester NY 14626-4296 Ph: (585) 368-6542 | Diabetes Prevention Recognition Program 2655 Ridgeway Ave Ste 220 Rochester NY 14626-4296 Ph: (585) 368-6542 |
NPI Number | 1013412576 |
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Provider Enumeration Date | 03/27/2018 |
Last Update Date | 03/27/2018 |
Identifier | Type | State | Issuer |
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1013412576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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